Adenoma sebaceum

Adenoma sebaceum, also known as facial angiofibroma is a misnamed cutaneous disorder consisting of angiofibromas that begin in childhood and appear clinically as red papules on the face especially on the nasolabial folds, cheek and chin, often misidentified as acne not responding to treatment. Adenoma sebaceum may at times be associated with tuberous sclerosis. Gradually the papules become more prominent with time and persist throughout life. Cosmetic removal by argon or pulse dye laser or scalpel is indicated.

Signs and symptoms

Adenoma sebaceum are several tiny, pinkish, erythematous hamartomas that cover the nose and cheeks in a distinctive butterfly pattern during early childhood or infancy. They typically occur in the nasolabial folds and are symmetrical.

Diagnosis

Adenoma sebaceum presence represents one of the major diagnostic criteria to confirm the diagnosis of tuberous sclerosis. When adenoma sebaceum presents with seizures and mental retardation, it indicates that cranial imaging is necessary, other differential diagnoses for this disorder include acne vulgaris, rhinophyma, and sebaceous hyperplasia.

Treatment

Adenoma sebaceum can be eliminated with dermabrasion or a laser.